Laserfiche WebLink
HEALTH �ERVIC Report #5101 <br /> Page # 1 <br /> Copy nI of n'f'v COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # C0008797 Program/Element 1600 <br /> Taken bV • on51 ORILL!Vo Date, 02/11/07 Assigned to : 0794 MATHEW Date: 08/11/97 <br /> Hard copy P inted: <br /> Fa i 1 i ty Naw- :- BIG VALLEY FOOD Fac ID' 00,1.895 <br /> BILL to inventoried FACILITY: <br /> Location- 1 n T F! gi. �,1F (Must have FACILITY ID#! <br /> � <br /> , <br /> FACILITY LOCATION/Property Info — <br /> 3TC, V4)1 LEY FnOD Loc Code : 01 <br /> earl)- 1P32 MT DIABLO f`VF BOS Dist . <br /> STOCKTON 9520? APN # <br /> _._.............................._.I. <br /> Phos- �09-465-3100 <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name 7 LIN., TSE,..._CNOW_,_.._WONG.. .._CEN.....CH_I.N...._....................................Home Phone: <br /> Address- 1832 MT DIABLO AVE Work Phone= 209-465-3100 <br /> City ' STOCKTON CA 95203 <br /> 43ture of Complaint: <br /> ON AUGUST 7 SHE BOUGHT CHICKEN WINGS AND HAMBURGER MEAT _ SHE TRIED <br /> COOKING THE HAMBUGER MEAT AND IT TURNED OUT TO BE SPIOLED _ TODAY 8-11— <br /> ,.47 SHE TRIED COOKING THE CHICKEN AFTER TAKING IT OUT OF THE FREEZER . IT <br /> WAS ALSO SPOILED . <br /> COMPLAINT Info — <br /> COMPLAINT MODE: P PHONE <br /> A?e epf E-ED OF Supervisors/City Ccouncil C-Counter M-Mail/Correspondence <br /> !!nit P-Phone <br /> ._ °?-Office Abated 03-NAI Sent 04-Notiate . ed 05-Enforce ACT Initiated <br /> `= L,-�:_< <:'= 07-Refer to Other Agency id 09-Foodborne Illness <br /> Send Referral Letter to: <br /> Address= <br /> Refer- al L-iter Sent l_, Date. <br /> Circle aPPrOPTiate 1Jnit # if comPlaint in another PROGRAM jurisdiction. Have Complaint Record and P/E updated <br /> it"T' Q '; IV for Investigation <br />